Performance Affidavit by sqk12797

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									                    THE CONSUMER AUTOMOTIVE REPAIR SHOW

               CLEARANCE PERFORMANCE AFFIDAVIT
               BROADCAST MONTH OF:______________________

CALL LETTERS: ____________AM         CITY & STATE OF LICENSE:______________________________

                ____________FM       STATION PHONE NUMBER: ______________________________

If CALL LETTERS have changed, indicate FORMER call letters here: ________________________________

Fill in exact day, date, and time your station carried the program.
If you did not carry the program, please indicate the reason under COMMENTS.

          Week Of                      Broadcast Days                        Exact Times




COMMENTS:__________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

Our Station carried the program at the time indicated above and all commercials were carried
within the program. (Note: If you did not carry all network commercials within the program,
please explain above.)

Name of person submitting affidavit: _______________________________________________
                                                                 (please print)
Signature: _____________________________________________________________________
                                                                            (date)


Mail/or Fax/or Email to:     Mary Pat Moore
                             The C.A.R. Show
                             2305 Plum Leaf Lane
                             Toledo, OH 43614
                             PH:      (888) 871-1777
                             FAX: (419) 867-1674
                             EMAIL: marypat@thecarshow.com

								
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